Individual provider · Type 1 NPI
Atherine Danice Shackelford, LVN, RN
Family Nurse Practitioner · Whittier, CA
NPI number
1245732858
Active
Practice location
12401 Washington Blvd, Whittier Ca 90602
Whittier, CA 90602
Mailing address
909 Pico Blvd
Santa Monica, CA 90405-1326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95034518 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1245732858
Atherine Danice Shackelford, LVN, RN's National Provider Identifier is 1245732858, issued on Feb 28, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Whittier, CA. The record was last updated on Jan 2, 2026.